Individual
JOSHUA J HEINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1280 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 567-3214
Mailing address
11920 W JANESVILLE RD APT 4A, HALES CORNERS, WI 53130-2372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
329735
WI
Other
Enumeration date
06/06/2013
Last updated
01/14/2015
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